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Thalassemia does not significantly affect embryo ploidy outcomes in women undergoing IVF with preimplantation genetic testing. 在接受试管婴儿植入前基因检测的妇女中,地中海贫血对胚胎倍性结果没有显著影响。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-13 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1651060
Li Fan, Wenjie Huang, Zhetao Li, Wugao Li, Liuyan Wei, Ni Tang, Liuying Nong, Jingjing Li, Huawei Wang

Background: Thalassemia is a common autosomal recessive disorder that may impact reproductive health and embryo development. However, limited information is available regarding the impact of thalassemia carrier status on embryo euploidy, developmental competence, and embryo availability. Therefore, this study aims to evaluate the effects on women with thalassemia by analyzing data from women undergoing IVF with PGT-A.

Methods: This retrospective cohort study included 2,110 women undergoing IVF with trophectoderm biopsy and PGT-A at Guangzhou Women and Children's Medical Center Liuzhou Hospital between January 2019 and December 2024. Women were grouped by thalassemia status (955 with thalassemia vs. 1,155 without). Statistical analyses included the use of the Mann-Whitney U test for continuous variables, Chi-square test for categorical variables, and regression models (Poisson for the number of euploid embryos and linear for the proportion of euploid embryos). Adjustments were made for potential confounders, and statistical significance was set at a two-sided p-value <0.05.

Results: After adjusting for key confounders including age, BMI, and AMH, no differences were observed between thalassemia and non-thalassemia women in embryo euploidy outcomes (adjusted RR for biopsied blastocysts: 1.06, 95% CI: 0.99-1.13; euploid embryos: 0.96, 95% CI: 0.86-1.08; proportion of euploid embryos: β = -0.03, 95% CI: -0.07-0.01). Although women with thalassemia initially showed higher numbers of biopsied blastocysts and euploid embryos in unadjusted analyses, these differences disappeared after adjustment. Further age-stratified analyses showed a slightly lower adjusted euploid proportion among thalassemia women aged 35-40 years (β = -0.07, 95% CI: -0.13 to -0.01), while no significant differences were observed in other age groups.

Conclusion: Overall, no significant differences were observed after adjustment for age, BMI, and AMH; however, a mild decrease in euploid proportion was noted among thalassemia women aged 35-40 years. These findings suggest that thalassemia does not generally impair embryo chromosomal integrity but that careful counseling may be warranted in this specific age group.

背景:地中海贫血是一种常见的常染色体隐性遗传病,可能影响生殖健康和胚胎发育。然而,关于地中海贫血携带者状态对胚胎整倍体、发育能力和胚胎可利用性的影响的信息有限。因此,本研究旨在通过分析接受PGT-A体外受精的妇女的数据来评估对地中海贫血妇女的影响。方法:本回顾性队列研究纳入2019年1月至2024年12月在广州市妇女儿童医疗中心柳州医院接受体外受精并进行滋养外胚层活检和PGT-A的2110名妇女。根据地中海贫血状况对妇女进行分组(955人患有地中海贫血,1155人没有)。统计分析包括对连续变量使用Mann-Whitney U检验,对分类变量使用卡方检验,以及回归模型(整倍体胚胎数量使用泊松模型,整倍体胚胎比例使用线性模型)。结果:对年龄、BMI、AMH等关键混杂因素进行校正后,地中海贫血与非地中海贫血女性在胚胎整倍体结局方面无差异(活检囊胚校正RR: 1.06, 95% CI: 0.99 ~ 1.13;整倍体胚胎校正RR: 0.96, 95% CI: 0.86 ~ 1.08;整倍体胚胎比例:β = -0.03, 95% CI: -0.07 ~ 0.01)。尽管在未经调整的分析中,患有地中海贫血的女性最初显示出更多的活组织检查的囊胚和整倍体胚胎,但调整后这些差异消失了。进一步的年龄分层分析显示,35-40岁地中海贫血妇女的校正整倍体比例略低(β = -0.07, 95% CI: -0.13至-0.01),而在其他年龄组中未观察到显著差异。结论:总体而言,在调整年龄、BMI和AMH后,无显著差异;然而,在35-40岁的地中海贫血妇女中,整倍体比例略有下降。这些发现表明,地中海贫血通常不会损害胚胎染色体的完整性,但在这一特定年龄组中,可能需要仔细咨询。
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引用次数: 0
Editorial: Cuproptosis and tumors, volume II: from basic research to clinical translation. 编辑:畸形和肿瘤,第二卷:从基础研究到临床翻译。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-13 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1773248
Bing Liu, Cheng Wang, Jiannan Liu, Chun Xu, Lin-Lin Bu
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引用次数: 0
Dialogue between nutrition and reproduction: preliminary exploration of sperm quality response to high-fat diet in mice. 营养与生殖之间的对话:小鼠高脂肪饮食对精子质量反应的初步探索。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1640714
Yali Jiang, Wenge Zhang

Background: High-fat diets are known to affect semen quality, potentially through metabolic and cellular stress mechanisms.

Objectives: This study investigates the impact of a high-fat diet on semen quality in male mice and identifies the underlying mechanisms involved.

Materials and methods: Thirty male C57BL/6J mice were randomly assigned to a control diet (CD) or HFD for 12 weeks. Sperm parameters and fertility were assessed by computer-assisted sperm analysis and mating trials. Testicular oxidative stress indices, autophagy- and apoptosis-related proteins were analyzed by biochemical assays and Western blot. Mitophagy (LC3B-Grp75 co-localization), tissue morphology (H&E, TUNEL, electron microscopy) and sperm DNA damage (DNA fragmentation index, 8-hydroxy-2'-deoxyguanosine [8-OHdG]) were further evaluated. Serum lipids and testosterone were measured by enzymatic assays and ELISA.

Results: HFD mice developed obesity, dyslipidemia, reduced testosterone, marked decreases in sperm count, progressive motility and normal morphology, and complete loss of fertility. Region-specific molecular alterations were observed along the reproductive tract: in epididymal caput, Beclin-1 and LC3B were upregulated and p62 downregulated, indicating enhanced autophagic flux; in cauda epididymis, pro-apoptotic markers increased and Bcl-2 decreased, consistent with augmented apoptosis; in testis, ATG5, Beclin-1, caspase-3 and Apaf-1 were elevated. HFD also increased testicular ROS and MDA, reduced SOD activity and mitochondrial membrane potential, and elevated sperm apoptosis, DNA fragmentation and 8-OHdG.

Conclusion: HFD induces a pathogenic cascade-oxidative stress, disrupted autophagy/mitophagy, and mitochondrial apoptosis-that collectively impair spermatogenesis and male fertility. Therapeutic strategies targeting antioxidant defenses, autophagic flux, and mitophagy may ameliorate obesity-related reproductive dysfunction.

背景:高脂肪饮食可能通过代谢和细胞应激机制影响精液质量。目的:本研究探讨高脂肪饮食对雄性小鼠精液质量的影响,并确定其潜在机制。材料与方法:雄性C57BL/6J小鼠30只,随机分为对照组(CD)和HFD两组,为期12周。通过计算机辅助精子分析和交配试验评估精子参数和生育能力。采用生化检测和Western blot检测睾丸氧化应激指标、自噬和凋亡相关蛋白。进一步评估线粒体自噬(LC3B-Grp75共定位)、组织形态(H&E、TUNEL、电镜)和精子DNA损伤(DNA断裂指数,8-羟基-2′-脱氧鸟苷[8-OHdG])。采用酶法和酶联免疫吸附试验测定血脂和睾酮水平。结果:HFD小鼠出现肥胖、血脂异常、睾酮水平降低、精子数量明显减少、运动能力逐渐减弱、形态正常,完全丧失生育能力。沿生殖道观察到区域特异性的分子改变:附睾头Beclin-1和LC3B上调,p62下调,表明自噬通量增强;附睾尾促凋亡标志物升高,Bcl-2降低,与细胞凋亡增强一致;在睾丸中,ATG5、Beclin-1、caspase-3、Apaf-1升高。HFD还增加了睾丸ROS和MDA,降低了SOD活性和线粒体膜电位,增加了精子凋亡、DNA断裂和8-OHdG。结论:HFD诱导了一种致病级联反应——氧化应激、自噬/线粒体自噬中断和线粒体凋亡,这些都损害了精子发生和男性生育能力。针对抗氧化防御、自噬通量和线粒体自噬的治疗策略可能改善肥胖相关的生殖功能障碍。
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引用次数: 0
Impact of follistatin-like 1 on cardiac repair processes following myocardial infarction. 卵泡素样1对心肌梗死后心脏修复过程的影响。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1746363
Fang He, Xueying Wang, Yongbin Man, Qianqian Xu, Xuejie Yi, Jiao Liu

Follistatin-like 1 (FSTL1) is an emerging multifunctional glycoprotein that plays a central role in cardiac repair following myocardial infarction (MI). While previous studies have explored its involvement in modulating inflammation, angiogenesis, and fibrosis, a cohesive mechanistic understanding remains incomplete. In this review, we provide a comprehensive synthesis of current findings and propose an integrated framework in which FSTL1 orchestrates post-infarction healing through multiple signaling cascades, including BMP/SMAD, PI3K/AKT, MAPK, and TGF-β pathways. We highlight its dual actions in both cardiomyocytes and cardiac fibroblasts, as well as its context-dependent interactions with mechanical cues and the immune microenvironment. Recent evidence suggests that FSTL1 may function as a key regulatory hub, coordinating sequential events such as inflammation resolution, extracellular matrix remodeling, and functional recovery. Together, these insights underscore the therapeutic promise of FSTL1 as a molecular target for enhancing cardiac repair and restoring myocardial integrity after infarction.

卵泡抑素样1 (FSTL1)是一种新兴的多功能糖蛋白,在心肌梗死(MI)后的心脏修复中起核心作用。虽然以前的研究已经探索了它在调节炎症、血管生成和纤维化中的作用,但对其机制的理解仍然不完整。在这篇综述中,我们全面综合了目前的研究结果,并提出了一个综合框架,其中FSTL1通过多种信号级联调控梗死后愈合,包括BMP/SMAD、PI3K/AKT、MAPK和TGF-β通路。我们强调了它在心肌细胞和心脏成纤维细胞中的双重作用,以及它与机械信号和免疫微环境的上下文依赖性相互作用。最近的证据表明,FSTL1可能作为一个关键的调控中心,协调一系列事件,如炎症消退、细胞外基质重塑和功能恢复。总之,这些见解强调了FSTL1作为梗死后增强心脏修复和恢复心肌完整性的分子靶点的治疗前景。
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引用次数: 0
Research advances on the risk of prostate cancer from phthalates exposure: from epidemiological evidence to multidimensional prevention and control. 邻苯二甲酸盐暴露导致前列腺癌风险的研究进展:从流行病学证据到多维预防和控制。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1740894
Binbin Wang, Hongliang Cao, Shuxin Li, Zhijun Tang, Gengchen Huang, Zhanhao Li, Yutao Ma, Wei Wei, Mo Chen

Prostate cancer (PCa) poses a significant threat to men's health worldwide, with persistently high incidence and mortality rates. Phthalates (PAEs), typical environmental endocrine disruptors (EDCs), are ubiquitous in the environment and readily accumulate in the human body due to their widespread use in plastics and consumer products. Their potential role in PCa development has drawn considerable attention. This review systematically summarizes the epidemiological associations between PAEs and PCa, their potential mechanisms of action, long-term risks, and corresponding prevention and control strategies. Epidemiological studies confirm that high-molecular-weight PAEs (e.g., di(2-ethylhexyl) phthalate [DEHP], dibutyl phthalate [DBP]) are significantly associated with increased PCa risk, with abdominally obese men identified as a susceptible population. Urinary PAE metabolites (e.g., mono(2-ethylhexyl) phthalate [MEHP], mono-n-butyl phthalate [MnBP]) serve as non-invasive biomarkers for assessing PAE exposure in prostate tissue. Mechanistically, PAEs may regulate PCa progression through multiple pathways, including disrupting the androgen/estrogen signaling balance, inducing epigenetic abnormalities (DNA hypomethylation, microRNA dysregulation), activating pro-proliferative/invasive signaling pathways (MAPK/AP-1, Wnt/β-catenin pathways), and inducing oxidative stress and facilitating epithelial-mesenchymal transition (EMT). Concurrently, PAEs may pose long-term carcinogenic risks through developmental programming and synergistic interactions with obesity to exacerbate PCa risk. Furthermore, this review proposes a multi-tiered prevention and control system comprising industrial source control, targeted protection of susceptible populations, occupational safeguards, and clinical integration. Future research should focus on core scientific questions, such as identifying key PAE subtypes that may be carcinogenic to the prostate, elucidating transgenerational epigenetic mechanisms underlying PAE-induced PCa susceptibility, and verifying the reversibility of PAE-obesity interactions in PCa development, to provide more substantial evidence for mitigating PAE-associated PCa risk.

前列腺癌对全世界男性健康构成重大威胁,其发病率和死亡率一直很高。邻苯二甲酸酯(PAEs)是典型的环境内分泌干扰物(EDCs),在环境中无处不在,由于其在塑料和消费品中的广泛使用,容易在人体中积累。它们在前列腺癌发展中的潜在作用已经引起了相当大的关注。本文系统综述了PAEs与PCa之间的流行病学关联、潜在作用机制、长期风险以及相应的防控策略。流行病学研究证实,高分子量PAEs(如邻苯二甲酸二(2-乙基己基)酯[DEHP]、邻苯二甲酸二丁酯[DBP])与PCa风险增加显著相关,腹部肥胖男性被确定为易感人群。尿中PAE代谢物(如邻苯二甲酸单(2-乙基己基)酯[MEHP]、邻苯二甲酸单正丁酯[MnBP])可作为评估前列腺组织中PAE暴露的非侵入性生物标志物。在机制上,PAEs可能通过多种途径调节PCa的进展,包括破坏雄激素/雌激素信号平衡,诱导表观遗传异常(DNA低甲基化,microRNA失调),激活促增殖/侵袭性信号通路(MAPK/AP-1, Wnt/β-catenin通路),诱导氧化应激和促进上皮-间质转化(EMT)。同时,PAEs可能通过发育规划和与肥胖的协同相互作用,造成长期致癌风险,从而加剧PCa风险。此外,本文还提出了包括工业源头控制、易感人群针对性保护、职业防护和临床结合在内的多层次防控体系。未来的研究应关注核心科学问题,如确定可能对前列腺致癌的关键PAE亚型,阐明PAE诱导的PCa易感性的跨代表观遗传机制,验证PAE-肥胖相互作用在PCa发展中的可逆性,为减轻PAE相关PCa风险提供更实质性的证据。
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引用次数: 0
The fall of the genome protectors triad: PBRM1, SETD2, and BAP1's impact on metabolism and immunity in clear cell renal cell carcinoma. 基因组保护因子三元组的缺失:PBRM1、SETD2和BAP1对透明细胞肾细胞癌代谢和免疫的影响
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1713830
Mathieu Johnson, Sandra Turcotte

The loss of chromosome 3p and the inactivation of the tumor suppressor gene von Hippel-Lindau (VHL) were identified in clear cell renal cell carcinomas (ccRCC) over three decades ago. Since then, mutations in genes for the three chromatin modulators, polybromo 1 (PBRM1), SET domain-containing 2 (SETD2), and BRCA1-associated protein-1 (BAP1), have been recognized as common in ccRCC. Although these genomic alterations are central to understanding ccRCC's development, other deregulated cellular processes are also prominent in these tumors. Metabolic reprogramming is a key hallmark of this disease, characterized by various changes linked to the stabilization of hypoxia-inducible factors (HIF), including increased aerobic glycolysis, elevated lipid levels, and glutamine dependence for cell survival. Additionally, HIF-α stabilization plays a crucial role in regulating the immune system, thereby enhancing CD8+ T lymphocyte cytotoxicity. Immune checkpoint inhibitors (ICI) are now used as first-line treatments to target the often highly infiltrated tumor microenvironment of ccRCC. However, the effectiveness of ICI varies and is difficult to predict. Although emerging studies are beginning to provide insight, evidence suggests roles for PBRM1, SETD2, and BAP1 in metabolic regulation and in shaping the tumor immune microenvironment in ccRCC. Here, we review recent advances in this field and examine their impact on the management of ccRCC.

三十多年前,在透明细胞肾细胞癌(ccRCC)中发现了染色体3p缺失和肿瘤抑制基因von Hippel-Lindau (VHL)失活。从那时起,三种染色质调节剂多溴化1 (PBRM1)、SET结构域2 (SETD2)和brca1相关蛋白-1 (BAP1)的基因突变被认为在ccRCC中很常见。尽管这些基因组改变对理解ccRCC的发展至关重要,但在这些肿瘤中,其他不受调控的细胞过程也很突出。代谢重编程是该疾病的一个关键标志,其特征是与缺氧诱导因子(HIF)稳定相关的各种变化,包括有氧糖酵解增加、脂质水平升高和细胞存活对谷氨酰胺的依赖。此外,HIF-α稳定在调节免疫系统中起着至关重要的作用,从而增强CD8+ T淋巴细胞的细胞毒性。免疫检查点抑制剂(ICI)现在被用作一线治疗,靶向ccRCC通常高度浸润的肿瘤微环境。然而,ICI的有效性各不相同,难以预测。尽管新兴研究开始提供见解,但有证据表明,PBRM1、SETD2和BAP1在ccRCC的代谢调节和肿瘤免疫微环境形成中发挥作用。在此,我们回顾了该领域的最新进展,并探讨了它们对ccRCC管理的影响。
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引用次数: 0
De novo assembly and single-molecule study of kinetochore-microtubule interactions. 着丝点-微管相互作用的从头组装和单分子研究。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1724413
Joshua D Larson, Lillian R Worst, Charles L Asbury

Kinetochores are essential molecular machines composed of dozens of protein subcomplexes that assemble onto specialized centromeric nucleosomes during every cell cycle prior to mitosis. During mitosis, the assembled kinetochores are responsible for maintaining load-bearing attachments to dynamic spindle microtubules, and for harnessing the forces generated by attached microtubules to organize and separate sister chromatids. Recent work shows that kinetochores can be reconstituted by assembling them in vitro onto centromeric DNAs in yeast whole cell lysates. By tethering individual centromeric DNAs to the surface of a coverslip, the assembly process and the microtubule-attachment activity of the assembled kinetochores can be studied at the single-molecule level. Kinetochores reconstituted in this manner are able to capture taxol-stabilized microtubules, with a strong intrinsic preference specifically for capturing microtubule plus ends. Super-resolution tracking further shows that the architecture of the assembled kinetochores changes in a microtubule polarity-dependent manner under external load. We anticipate that extensions of these approaches will uncover the molecular basis of the kinetochore's plus end-preference and, ultimately, will reveal how tension affects the arrangement of core subcomplexes and transient regulatory factors. Here we detail how to study individual kinetochores assembled from yeast whole cell lysate using single-molecule total internal reflection fluorescence microscopy.

着丝点是由数十个蛋白质亚复合物组成的重要分子机器,它们在有丝分裂前的每个细胞周期中组装到专门的着丝粒核小体上。在有丝分裂过程中,装配的着丝点负责维持动态纺锤体微管的负重附着,并利用附着的微管产生的力来组织和分离姐妹染色单体。最近的研究表明,通过在酵母全细胞裂解物中将着丝点组装到着丝点dna上,可以重建着丝点。通过将单个着丝粒dna拴在盖壳表面,组装过程和组装的着丝粒的微管附着活性可以在单分子水平上进行研究。以这种方式重组的着丝点能够捕获紫杉醇稳定的微管,具有强烈的内在偏好,特别是捕获微管+端。超分辨率跟踪进一步表明,在外部负载下,装配的着丝点结构以微管极性依赖的方式变化。我们预计这些方法的扩展将揭示着丝点正端偏好的分子基础,并最终揭示张力如何影响核心亚复合物和瞬时调节因子的排列。在这里,我们详细介绍了如何使用单分子全内反射荧光显微镜研究从酵母全细胞裂解液中组装的单个着丝点。
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引用次数: 0
Notch signaling pathway modulation by food functional ingredients: mechanisms, cancer and immunoregulation. 食品功能成分对Notch信号通路的调节:机制、癌症和免疫调节。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1729265
Rong-Zu Nie, Huo-Min Luo, Ya-Ping Liu, Shuang-Shuang Wang, Yan-Jie Hou, Chen Chen, Hang Wang, Hui-Lin Lv, Xing-Yue Tao, Zhao-Hui Jing, Hao-Kun Zhang, Pei-Feng Li

This article comprehensively reviews the complex role of the Notch signaling cascade in cancer, as well as the regulatory mechanisms and potential anti-cancer effects of food functional ingredients on this pathway. The Notch signaling cascade is essential for maintaining normal cellular physiological processes and is closely associated with cancer initiation and progression; its abnormalities are linked to diverse biological behaviors of tumor cells, and it exhibits dual roles in both pro-cancer and anti-cancer properties. Food functional ingredients, including polyphenols, terpenoids, sulfur-containing compounds, vitamins, minerals, and other compounds, can precisely regulate the Notch signaling pathway via distinct molecular mechanisms and exert significant anti-cancer activity. In vitro cell experiments have elucidated the regulatory effects of these ingredients on the Notch pathway and their impacts on cancer cell phenotypes at the molecular level, while in vivo animal experiments further verified their efficacy in inhibiting tumor growth and metastasis. Although clinical research remains in its infancy, existing studies have provided directions for subsequent basic and clinical investigations-specifically, to further clarify the detailed mechanisms by which functional ingredients in food regulate the Notch signaling cascade and facilitate their clinical application in cancer treatment.

本文综述了Notch信号级联在癌症中的复杂作用,以及食品功能成分对该通路的调控机制和潜在的抗癌作用。Notch信号级联对于维持正常的细胞生理过程至关重要,与癌症的发生和发展密切相关;它的异常与肿瘤细胞的多种生物学行为有关,具有促癌和抗癌的双重作用。食品功能性成分,包括多酚类、萜类、含硫化合物、维生素、矿物质等化合物,可以通过不同的分子机制精确调节Notch信号通路,发挥显著的抗癌作用。体外细胞实验在分子水平上阐明了这些成分对Notch通路的调控作用及其对癌细胞表型的影响,而体内动物实验进一步验证了其抑制肿瘤生长和转移的功效。虽然临床研究还处于起步阶段,但已有的研究为后续的基础和临床研究提供了方向,特别是进一步阐明食品中功能成分调控Notch信号级联的详细机制,促进其在癌症治疗中的临床应用。
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引用次数: 0
Real-world database evaluation of drug-associated vitreous opacities and machine learning for clinical interpretability. 药物相关玻璃体混浊的真实数据库评估和临床可解释性的机器学习。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1699669
Wenying Guan, Shi-Nan Wu, Ke Feng, Changsheng Xu, Yuwen Liu, Bing Yan, Jingyao Lv, Caihong Huang, Jiaoyue Hu, Zuguo Liu

Background: With visual disturbances from vitreous opacities (VOs) and floaters drawing increasing attention, we analyzed real-world data from the U.S. Food and Drug Administration Adverse Event Reporting System (FAERS) to characterize VO-associated drug profiles and inform clinical strategies for reducing VO-related complications.

Materials and methods: Disproportionality analysis was performed on FAERS reports (2004-2024) to identify VO-associated drugs. Drugs were then classified to assess the onset time and baseline characteristics. Multivariable logistic regression was used to evaluate confounders. The predictive performance was compared using six machine learning algorithms, with SHapley Additive exPlanations (SHAP) used for feature importance.

Results: Among 3,817 VO-related reports, 38 drugs were identified as independent risk factors, and they were mainly ocular, oncologic, hormonal, antimicrobial, and immunologic agents. Antimicrobial drugs had the earliest onset (mean 43.6 days), and hormonal drugs had the latest (mean 409.2 days). In the bootstrapped aggregating (BAG) model, the top predictors of VO were dexamethasone, reporter, time, brolucizumab, and age. The five highest-risk drugs were dexamethasone, brolucizumab, triamcinolone, faricimab, and fingolimod.

Conclusion: This first systematic real-world evaluation of VO-related adverse drug reactions identifies high-risk drugs, susceptible populations, and onset patterns, thus offering guidance for preventive medication strategies. The BAG model showed higher sensitivity in real-world analysis, suggesting potential for further research in VO and floater prevention and treatment.

背景:随着玻璃体混浊(VOs)和飞蚊引起的视力障碍越来越受到关注,我们分析了来自美国食品和药物管理局不良事件报告系统(FAERS)的真实数据,以表征VOs相关药物概况,并为减少VOs相关并发症的临床策略提供信息。材料和方法:对FAERS报告(2004-2024)进行歧化分析以鉴定vo相关药物。然后对药物进行分类,以评估发病时间和基线特征。采用多变量logistic回归评价混杂因素。使用六种机器学习算法对预测性能进行比较,SHapley加性解释(SHAP)用于特征重要性。结果:在3817份与vo相关的报告中,有38种药物被确定为独立危险因素,主要是眼部、肿瘤、激素、抗菌和免疫药物。抗菌药物起效最早(平均43.6 d),激素类药物起效最晚(平均409.2 d)。在自举聚合(BAG)模型中,VO的最高预测因子是地塞米松、报告者、时间、brolucizumab和年龄。5种风险最高的药物是地塞米松、布卢珠单抗、曲安奈德、法利昔单抗和芬戈莫德。结论:本研究首次对vo相关药物不良反应进行了系统的现实世界评估,确定了高危药物、易感人群和发病模式,从而为预防用药策略提供指导。BAG模型在现实世界分析中显示出更高的敏感性,这表明在VO和漂浮物的预防和治疗方面有进一步的研究潜力。
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引用次数: 0
Mechanisms and therapeutic prospects of hypoxia-inducible factor 1-alpha in acute kidney injury: a systematic review. 缺氧诱导因子1- α在急性肾损伤中的作用机制及治疗前景:系统综述。
IF 4.6 2区 生物学 Q2 CELL BIOLOGY Pub Date : 2026-01-12 eCollection Date: 2025-01-01 DOI: 10.3389/fcell.2025.1660433
Peng Kang, Fan Cheng

Background: Acute Kidney Injury (AKI) poses a significant global health challenge, with increasing incidence and mortality rates, and profoundly impacts long-term outcomes, including progression to chronic kidney disease. Ischemia-reperfusion injury (IRI) is a major cause of AKI, in which hypoxia-inducible factor-1α (HIF-1α) plays a complex and dual role.

Methods: This review systematically analyzes the regulatory functions of HIF-1α in renal IRI, focusing on molecular mechanisms involving oxidative stress, apoptosis, inflammation, and tissue repair.

Results: Emerging evidence from preclinical studies demonstrates that HIF-1α orchestrates key adaptive responses in renal IRI, including the regulation of mitophagy, management of endoplasmic reticulum stress, and induction of metabolic reprogramming toward glycolysis.

Conclusion: Targeting HIF-1α represents a promising therapeutic strategy for AKI. Advances in HIF-1α-modulating therapies, particularly HIF prolyl hydroxylase inhibitors, offer novel avenues for both prevention and treatment. These findings underscore the potential for HIF-1α-centered therapies to mitigate AKI progression and improve clinical outcomes.

背景:急性肾损伤(AKI)是一项重大的全球健康挑战,其发病率和死亡率不断上升,并深刻影响长期预后,包括进展为慢性肾脏疾病。缺血再灌注损伤(Ischemia-reperfusion injury, IRI)是AKI发生的主要原因,其中缺氧诱导因子-1α (hypohypoinducible factor-1α, HIF-1α)在其中起着复杂的双重作用。方法:系统分析HIF-1α在肾IRI中的调控作用,重点从氧化应激、细胞凋亡、炎症和组织修复等方面探讨HIF-1α的分子机制。结果:来自临床前研究的新证据表明,HIF-1α在肾脏IRI中协调关键的适应性反应,包括调节线粒体自噬、内质网应激管理和诱导糖酵解的代谢重编程。结论:HIF-1α靶向治疗AKI是一种很有前景的治疗策略。HIF-1α-调节疗法的进展,特别是HIF脯氨酰羟化酶抑制剂,为预防和治疗提供了新的途径。这些发现强调了以hif -1α为中心的治疗方法在缓解AKI进展和改善临床结果方面的潜力。
{"title":"Mechanisms and therapeutic prospects of hypoxia-inducible factor 1-alpha in acute kidney injury: a systematic review.","authors":"Peng Kang, Fan Cheng","doi":"10.3389/fcell.2025.1660433","DOIUrl":"10.3389/fcell.2025.1660433","url":null,"abstract":"<p><strong>Background: </strong>Acute Kidney Injury (AKI) poses a significant global health challenge, with increasing incidence and mortality rates, and profoundly impacts long-term outcomes, including progression to chronic kidney disease. Ischemia-reperfusion injury (IRI) is a major cause of AKI, in which hypoxia-inducible factor-1α (HIF-1α) plays a complex and dual role.</p><p><strong>Methods: </strong>This review systematically analyzes the regulatory functions of HIF-1α in renal IRI, focusing on molecular mechanisms involving oxidative stress, apoptosis, inflammation, and tissue repair.</p><p><strong>Results: </strong>Emerging evidence from preclinical studies demonstrates that HIF-1α orchestrates key adaptive responses in renal IRI, including the regulation of mitophagy, management of endoplasmic reticulum stress, and induction of metabolic reprogramming toward glycolysis.</p><p><strong>Conclusion: </strong>Targeting HIF-1α represents a promising therapeutic strategy for AKI. Advances in HIF-1α-modulating therapies, particularly HIF prolyl hydroxylase inhibitors, offer novel avenues for both prevention and treatment. These findings underscore the potential for HIF-1α-centered therapies to mitigate AKI progression and improve clinical outcomes.</p>","PeriodicalId":12448,"journal":{"name":"Frontiers in Cell and Developmental Biology","volume":"13 ","pages":"1660433"},"PeriodicalIF":4.6,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12832744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146061296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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Frontiers in Cell and Developmental Biology
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